ManitobaBill 28Royal Assent
Bill 28: The Health System Governance and Accountability Amendment Act (Nurse-to-Patient Ratios)
Sponsor: Hon. Minister AsagwaraIntroduced March 11, 2026Checked September 4, 2026
Read the official textOfficial version — Legislative Assembly of Manitoba
What this bill does
This Manitoba bill amends the Health System Governance and Accountability Act to allow the Minister of Health to set minimum nurse-to-patient ratios by regulation, and requires health authorities and funded health care organizations to prepare and submit compliance plans outlining how they will meet — and respond when they cannot meet — those ratios.
Plain-language summary by Legisail — not legal advice.
Business impact
EmploymentCompliance
This bill directly affects hospitals, long-term care homes, personal care homes, and any other health care organization or corporation that receives operational funding from a Manitoba health authority — essentially anyone delivering funded health services in the province. If you run or manage a care facility, you'll need to develop a formal written plan showing how you'll staff to the prescribed nurse-to-patient ratios and what protocols you'll follow when you fall short. You'll also be required to file quarterly non-compliance reports with the minister any time staffing falls below the required ratio. Larger facility operators with multiple units or programs will feel the most administrative weight, but even smaller funded organizations won't be exempt — if you take public health dollars from a regional health authority, these obligations apply to you.
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Where this bill is
First ReadingMarch 11, 2026
Second ReadingApril 20, 2026
CommitteeMay 6, 2026
Third ReadingJune 1, 2026
Royal AssentJune 1, 2026
Now law — awaiting coming into force
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